MARY BLACKMON CPRC
NPI 1033796107
Counselor - Addiction (Substance Use Disorder) in Canton, MI

Active since March 25, 2021
50430 SCHOOL HOUSE RD, CANTON, MI 48187(734) 431-2357 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Blackmon Cprc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BLACKMON CPRC (NPI 1033796107) is an individual addiction (substance use disorder) provider in Canton, Michigan and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1033796107
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY BLACKMONCredential: CPRC
Location Address50430 SCHOOL HOUSE RDCanton, MI 48187-5910
Mailing Address50430 School House RdCanton, MI 48187-5910
Sole ProprietorNo
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1033796107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
50430 SCHOOL HOUSE RD, Canton, MI 48187

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Social Worker (Clinical)
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Social Worker (Clinical)
50430 SCHOOL HOUSE RD
CANTON, MI 48187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Blackmon's NPI number?

The NPI number for Mary Blackmon is 1033796107. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Mary Blackmon located?

Mary Blackmon practices at 50430 School House Rd, Canton, MI 48187. The listed phone number is (734) 431-2357.

What is Mary Blackmon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Blackmon was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.